South Africa has made major progress in the fight against AIDS since 2001, when MSF was the only organization providing antiretroviral treatment in the country. "Adherence clubs" piloted by MSF now make treatment more accessible than ever.

The recent report on AIDS in South Africa, where Doctors Without Borders has been providing AIDS treatment for 10 years, lays out stark policy choices its government must make in order to reduce AIDS deaths and avert millions of infections in the next 20 years.

Eric Goemaere hopes the patent pool will work out so he doesn't have to watch his patients in Khayelitsha die. In the U.S. HIV patients have a 69-year life expectancy. But his patients in Khayelitsha are running out of options after only 8 years on therapy. "I don't accept the principle of double standards," he says. "If it's possible to get 69 years of life in the U.S., it should be possible to get something comparable in South Africa."